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PERMIT APPLICATION
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<br /> BUILDING!MECHANICAL i.PLUMBING I SIGN!SPRiNKLER I pgmOLITIoN
<br /> ciTy.0F.EvElki.i PERMIT SERVICES
<br /> 32e0 CEDAR EVERETT,WA 9820.1
<br /> (P)425.467-81110. I FAX 42 2788S I(E)everettepseaverettwaGatrl watt%everettwa.gaiiiperibita
<br /> PROW or BilaCklOk.Onit Please) 10F
<br /> :: :;;•.i.:.:..,':: :: PROJECT' -SitE: oRmAtioW - .,.•,..:.,.,;:.,.,:_,::,.,i,::'..:::.,,,,_- .. •:,-. ,:,. .:.:-.:,':::.-...,:',,;::,..
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<br /> PROJECT SITE ADDRESS;221 SE Everett.Mall Way, Suite 4-2 9820 PROPERTY TAX*:
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<br /> LEGAL for new construction Short Plattb.acifilision ..... . . - -. tkcit NO (attach.dopy Wang fags!description)
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<br /> '],,!..:.:i',:.',:. :..: ...EY:..,::.:.:.::1 ,::."..'!::':••••:'... .'.i,... CONTA,Ct:INFORMATION .,1::.•,i.:!:•::: :.-: ,1.:,':!:.''.':.''',..•.,:•::'.'Y:::-','..:
<br /> OWNER NAME!Doug Hrabik TENANT NAME(If Commercial); Red Wing Shoes,
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<br /> OWNER MAILING ADDRESS: EE'I` 16 N. Central Avenue
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<br /> callyCanoii$Nrg sulg.PA ZIP 1=5347
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<br /> OWNER PHONES 724-941-z055 OWNER EMAIL: 001.9@pas$.n.ktOrri,
<br /> CONTRACTOR NAME: C.BSShik Contracting
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<br /> CONTRACTOR ADDRESS: syFor 15 Notth-Central.Avenue , , ....
<br /> ch-te Canonsburg Mit.PA mt.1 5$1.7
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<br /> . .CONTRACTOR PHONE:. 724441-2055 CONTRACTOR.EMAIL:tOrIT©caSSIlik,corn
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<br /> CONTRACTOR LICENSE,#(REQUIRED): 603584720 eAssacbg.flya4opY OBuSiNESS uczNutgiigiuiRED); g4-F'EvEREIT. 2,1_ ._1 (
<br /> PRIMARY CONTACT.: EIOWNER WI CONTRACTOR El OTHER(Please Specify)
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<br /> CONTACT NAME: CONTACT PHONE!'.724941,2055
<br /> Tom AI len CONTACT EMAIL:tOiDi@CBSSiiik.COM .
<br /> ::.'' .:E- :••••::'''::':'''. •.'. ' ''''.'l•I: ':.::.:'.'..'''''F,:',';'::','::.!':::-.':'':'',.'.''', ttillibli441*EiiliiiIt'APPLICATION'',...•:'H:'-',E,'.... .':i.:1-: :.'1'!r• , ..'i':;•' .:::::'-...1•:-....-I::1•.,.'"!..1.::-...:
<br /> ggsting Ilse 01 Building: ContraciPrIce°Mork:S
<br /> Proposed UsedButidig:Red Wiita:StiOes Heat Source: ..13Gas ' DElectrie ClOther . .
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<br /> Building Type: [OSFR-EletashedMFR.-Attached ElDuplex ,. QMolli-Pamity4t of Units: IDGotrunerciat ClinclustrMI
<br /> Typo Of PrOjeot; la New .13Addition ORemeder 1;1Repair CIT.I. Deign. EISprinkier 1:3Dernolition liChange.of Use
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<br /> DESCRIPTION OP WORK .. _
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<br /> Finishing work for previous GC, Interior fit-out
<br /> ASSOCIATED BUILDING PERMIT#(if applicable): -
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<br /> !.:•:IVIEdilANiiCAL:PERKIIIT:!1101%1110AtiON:' , ,-.,.., 2':••-- . :':-, puuMBONW:PERNiltAPIPLItATION:'.,•i.:',ii.,'.i••:•;: ,,1: .•;•'
<br /> Type o.f•Projeot: New Aridn .,, lteration _Repair : Type of Project i New .. Adiin Alteration Repair
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<br /> #'0, - • goi #Oi ' #of
<br /> lief of Fixtures
<br /> fixtdres LW of Fixtum poieres List of Fixtures _..-. res List of Fixtures: -•• • • ' Fixtittes - . Mgr
<br /> A/C-Air HandliogVnits .Heat Pump - . - Toilet • Backflow Preve,nter(Inaide Bldg)
<br /> forOad*GYSIonia •-- ''Onit Heater Bathtub , — 'UMW
<br /> Gas,Piping Boiler „ . . - " Lavatory(Wash Basin) -, ...Drirking F untain ..
<br /> Water Heater . - 'Refrigeration :' Shower - .- .900(Wein
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<br /> Gas Fitepiace 'Wood Stove . , kitchen Sink&Disposal Grease TiaP •
<br /> Oas Range, Ducting Dishwasher . . ... ' :Reef Pfal08. •
<br /> Clothes Dryer Hookups ,. Other: ;.. Clothes Washer Medical Gas
<br /> Range Hood - -- . - Water Heater •, Other
<br /> Exhaust Pan-- Sink(Service/Bar/Mopiate..) ' . Oilier
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<br /> ,.sptooKkEittsvoint.00sIoNisysTow:".•.]: : • ... . .. •
<br /> . INomber.of.Heads
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<br /> ACKNOWLEDGRMeNtlhaue reviewed this application and confirm f1rot..971000.sonteleed hereto Isihre•and:ootoret..:WolkdetrepurSeantfe this permit must comply with
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<br /> current federal state and local law The granting pis permit only authorizes approved work and no deviations therefrom lieviOtiorisretrethret be dutitotikediti wilting fitifit the
<br /> field/hat°Wet before beteg authorized under any•eirsomerence.tem./be owner,'or i ala 0111040 bythe OVvrierti this property to the work for which eppliegOoIl.is mgclo;
<br /> andt compiy.with the:Mate Contractors Lew 184TP4Wend 296.20t1A.WAC:
<br /> ' Ciiyof EverettOfitelel Use Only.
<br /> , PERMIT.#
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<br /> ow.rikittiOlizpi Agent Signsto.- • Date (Revised 9123.12()10
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